Healthcare Provider Details

I. General information

NPI: 1679477939
Provider Name (Legal Business Name): AUTISM CARE PLUS CO.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2001 ECHO PL
SAN RAMON CA
94582-4832
US

IV. Provider business mailing address

155 WILLOWBROOK BLVD STE 110
WAYNE NJ
07470-7033
US

V. Phone/Fax

Practice location:
  • Phone: 833-666-2919
  • Fax: 833-666-2919
Mailing address:
  • Phone: 833-666-2919
  • Fax: 833-666-2919

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateNULL

VIII. Authorized Official

Name: SUDDHA MUKHOPADHYAY
Title or Position: CEO
Credential: BCBA
Phone: 833-666-2919